保留射血分数诊断心力衰竭的原则

Q3 Medicine

Russian Journal of Cardiology Pub Date : 2023-09-12 DOI:10.15829/1560-4071-2023-5448

N. E. Shirokov, E. I. Yaroslavskaya, D. V. Krinochkin, N. A. Musikhina, T. P. Gizatulina, T. N. Enina, T. I. Petelina, A. M. Soldatova, E. P. Samoilova, N. O. Pogorelov, L. I. Gapon

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引用次数: 0

摘要

低度全身炎症、心肌应激和细胞外基质纤维化可导致具有保留射血分数(HFpEF)的心力衰竭。推荐使用HFA-PEFF诊断算法和H2FPEF评分检测HFpEF。它们的低依从性是改进HFpEF诊断方法的原因。HFpEF的现代临床诊断包括在舒张压力测试中评估左心室充盈压力。静息超声心动图左房应变的相位分析可能有助于得出左房平均压升高的结论。研究兴趣是越来越多的生物标志物参与胶原蛋白合成的调节。总之，临床旁诊断有助于描述顺序形态功能心脏重构，增加HFpEF检测的可能性。

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Principles for diagnosing heart failure with preserved ejection fraction

Low-grade systemic inflammation, myocardial stress, and extracellular matrix fibrosis lead to heart failure with preserved ejection fraction (HFpEF). The HFA-PEFF diagnostic algorithm and the H2FPEF score are recommended for detecting HFpEF. Their low compliance is the reason for improving the methods for diagnosing HFpEF. Modern paraclinical diagnostics of HFpEF includes an assessment of the left ventricular filling pressure during diastolic stress test. Phase analysis of left atrial strain during resting echocardiography may be promising to conclude an increase in mean left atrial pressure. Research interest is growing in relation to biomarkers involved in the regulation of collagen synthesis. Together, paraclinical diagnostics help to characterize sequential morphofunctional cardiac remodeling, increasing the possibility of HFpEF detection.

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来源期刊

Russian Journal of Cardiology Medicine-Cardiology and Cardiovascular Medicine

CiteScore

2.20

自引率

0.00%

发文量

185

审稿时长

1 months

期刊介绍： Russian Journal of Cardiology has been issued since 1996. The language of this publication is Russian, with tables of contents and abstracts of all articles presented in English as well. Editor-in-Chief: Prof. Eugene V.Shlyakhto, President of the Russian Society of Cardiology. The aim of the journal is both scientific and practical, also with referring to organizing matters of the Society. The best of all cardiologic research in Russia is submitted to the Journal. Moreover, it contains useful tips and clinical examples for practicing cardiologists. Journal is peer-reviewed, with multi-stage editing. The editorial board is presented by the leading cardiologists from different cities of Russia.